Are you feeling unusually fatigued, experiencing swelling, or just received a diagnosis that includes the term “Stage 3”? It’s completely natural to feel overwhelmed or confused when faced with news about your kidney health. Many people don’t realize their kidneys are in trouble until a condition has progressed.
Understanding your health is the first step to taking back control. Stage 3 Chronic Kidney Disease (CKD) indicates a moderate reduction in kidney function, but it is also the stage where effective management can make a massive difference. AtExpress Internal Medicine, your primary care doctor Plano, Dr. Iram Qureshi and Dr. Adeel Khan, are dedicated to providing personalized chronic care in Plano Texas to manage your condition and help you live your healthiest life.

Understanding Stage 3 Chronic Kidney Disease (PK 1/6)
Simply put, CKD is a progressive loss of kidney function over time. The “stage” is determined by yourGlomerular Filtration Rate (GFR), which is a blood test that shows how well your kidneys are filtering waste from your blood.
Stage 3 is further divided into two sub-stages:
- Stage 3a: GFR is between 45 and 59 mL/min.
- Stage 3b: GFR is between 30 and 44 mL/min.
At this stage, your kidneys are moderately damaged and aren’t filtering blood as efficiently as they should. This can lead to a build-up of waste products, fluid imbalances, and other health issues. This is why having a proactive strategy is so important for Stage 3 Chronic Kidney Disease.
Common Stage 3 CKD Symptoms
One of the challenges of Stage 3 Chronic Kidney Disease is that symptoms can be subtle or easily mistaken for other issues. You might not feel “sick,” but there are often signs your body is struggling. Being aware of these symptoms can help you know when to seek help from your primary care doctor Plano.
| System | Potential Symptoms |
| Fatigue & Weakness | Feeling tired all the time, even after a full night’s sleep. |
| Fluid Buildup | Swelling (edema) in the feet, ankles, and hands. |
| Urinary Changes | Urinating more or less frequently, or foamy urine (due to protein). |
| Sleep Issues | Restless legs or difficulty sleeping (insomnia). |
| Appetite | Loss of appetite, nausea, or changes in taste. |
If you are experiencing a combination of these issues, it is crucial to schedule an appointment with an internal medicine doctor like Dr. Iram Qureshi or Dr. Adeel Khan right away.
A Comprehensive Approach to Stage 3 Kidney Disease Treatment
The goal of Stage 3 Chronic Kidney Disease treatment is not to reverse the damage—which is often not possible—but to slow the progression of the disease and treat the complications. A dedicated primary care doctor Plano is your quarterback for this treatment plan.
The treatment focuses heavily on managing the root causes and controlling related health problems.
1. Blood Pressure Management
High blood pressure (hypertension) is both a cause and a consequence of kidney disease. Controlling your blood pressure is the single most effective way to protect the remaining function of your kidneys. Medications like ACE inhibitors or ARBs are commonly prescribed for this purpose.
2. Blood Sugar Control
For patients with diabetes, managing blood sugar levels is non-negotiable. High glucose levels damage the small blood vessels in the kidneys over time. Dr. Adeel Khan specializes in preventative care and lifestyle management, ensuring your diabetes is under strict control to prevent further progression of CKD.
3. Diet and Lifestyle Adjustments
A renal-friendly diet is a cornerstone of Stage 3 CKD management. This involves reducing the intake of:
- Sodium: To help control blood pressure and swelling.
- Protein: While essential, excessive protein can be hard on the kidneys.
- Potassium and Phosphorus: Levels of these minerals may need careful monitoring and restriction.
Your primary care doctor Plano will guide you to the right nutritional resources.
Expert Stage 3 CKD Management at Express Internal Medicine
Effective chronic care in Plano Texas requires a dedicated, personalized approach—and that’s exactly what you get at Express Internal Medicine. Our board-certified physicians specialize in managing multiple chronic conditions simultaneously.
Dr. Iram Qureshi and Dr. Adeel Khan focus on a proactive, evidence-based strategy for your Stage 3 Chronic Kidney Disease that includes:
Regular Monitoring:
Consistent follow-ups and in-home blood work to track your GFR, creatinine, and electrolyte levels.
Medication Review:
Ensuring all your medications are kidney-friendly and adjusted as your kidney function changes.
Anemia and Bone Health:
CKD can lead to anemia and weak bones. We monitor for these complications and provide necessary treatments, such as iron supplements or vitamin D.
Specialist Coordination:
If your condition requires it, we seamlessly coordinate your care with a consulting nephrologist, making sure your treatment plan is unified.
You will always meet your Doctor, not an Assistant, ensuring you receive the highest level of continuity and expert care.
Why Choose Express Internal Medicine for Your Chronic Care in Plano Texas
When it comes to managing a serious health condition like Stage 3 Chronic Kidney Disease (CKD), you need a partner you can trust. Express Internal Medicine is your local expert in chronic care in Plano, Texas. We understand the complexity of chronic diseases and are committed to helping you understand your diagnosis, manage your symptoms, and slow the progression of your condition.
Dr. Iram Qureshi and Dr. Adeel Khan pride themselves on crafting personalized treatment plans that fit your lifestyle, not just your lab results. We offer same-day appointments and services in English, Urdu, and Hindi, making healthcare accessible and comfortable for our diverse community.
Final Thoughts and Next Steps
Receiving a diagnosis of Stage 3 Chronic Kidney Disease is a serious moment, but it’s also an opportunity to take decisive action. With the right Stage 3 CKD management plan, you can significantly impact your future health. Don’t wait for your symptoms to worsen.
Your health is our priority. If you or a loved one needs expert chronic care and guidance for Stage 3 CKD, book your appointment today with Dr. Iram Qureshi or Dr. Adeel Khan, your trusted primary care doctor Plano. Same-day appointments are available!
Click here to Book Your Appointment or call us at (972) 454-9720.
FAQs
1. What is the main cause of Stage 3 Chronic Kidney Disease?
The two most common causes are uncontrolled diabetes (high blood sugar) and uncontrolled hypertension (high blood pressure). Other causes include autoimmune diseases and genetic conditions.
2. Can Stage 3 Chronic Kidney Disease be reversed?
Generally, the structural damage that causes CKD is not fully reversible. However, a strict Stage 3 CKD management plan can effectively halt or significantly slow the progression of the disease.
3. How often should I see my doctor for Stage 3 CKD?
Your follow-up schedule is personalized, but patients with Stage 3 Chronic Kidney Disease typically see their primary care doctor Plano every 3 to 6 months for monitoring of GFR and other vital signs.
4. What tests are used to monitor Stage 3 CKD?
The main tests are the Glomerular Filtration Rate (GFR) and the Albumin-to-Creatinine Ratio (ACR). GFR measures filtering capacity, and ACR measures protein leakage in the urine.
5. Should I see a specialist for Stage 3 CKD?
Your internal medicine doctor (Dr. Qureshi or Dr. Khan) can effectively manage early-to-moderate Stage 3 Chronic Kidney Disease. A referral to a Nephrologist (kidney specialist) is usually made for more advanced stages or complex cases.
6. Do I need to restrict my water intake with Stage 3 CKD?
In Stage 3, fluid restriction is not usually necessary unless you are experiencing significant fluid retention (edema) or have been advised to do so by your doctor. Always follow your physician’s specific advice.
7. What kind of diet is best for Stage 3 CKD management?
A heart-healthy, low-sodium, and low-protein diet is generally recommended. Your doctor will discuss specific restrictions on potassium and phosphorus based on your lab results.
8. Does Express Internal Medicine offer same-day appointments for chronic care?
Yes, Express Internal Medicine offers same-day appointments to ensure you can get prompt attention for your health concerns, including urgent needs related to your chronic condition.
9. What if my primary kidney problem is high blood pressure?
Our physicians specialize in the comprehensive management of hypertension. Controlling your blood pressure is a top priority in your overall chronic care in Plano Texas plan to protect your kidneys.
10. Can Dr. Iram Qureshi or Dr. Adeel Khan help me with weight loss, which is important for my kidney health?
Yes. Dr. Iram Qureshi has expertise in doctor-supervised Weight Loss Management, which is a vital component of protecting the kidneys and managing chronic conditions like diabetes and hypertension.

Dr. Iram Qureshi is a dedicated board-certified Internal Medicine physician with a strong passion for preventative care and weight-loss management. With over five years of experience as a hospitalist, Dr. Qureshi has honed her expertise in treating acute medical conditions and focusing on preventing hospitalizations. She is committed to providing compassionate care and evidence-based guidance to help patients lead healthier lifestyles.
As the co-founder of Express Internal Medicine, Dr. Qureshi works alongside her husband, Dr. Adeel Khan, to create a welcoming and supportive environment for patients. She specializes in weight-loss management, offering personalized treatment plans aimed at achieving sustainable health outcomes. Dr. Qureshi holds degrees from Ohio State University and The University of Pikeville-Kentucky College of Osteopathic Medicine, with internal medicine training from Midwestern University OPTI in Sierra Vista, Arizona.
Fluent in English and Urdu/Hindi, Dr. Qureshi is passionate about educating her patients and empowering them to take charge of their health. Outside of her medical practice, she enjoys cooking, traveling, photography, and movies.



